AMAZING GRACE CARE GROUP HOME LLC
NPI 1649095365
Assisted Living Facility in Desoto, TX

Active since November 18, 2024
1001 HILLCREST DRIVE, DESOTO, TX 75115(214) 701-5862 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About AMAZING GRACE CARE GROUP HOME LLC

This page provides the complete NPI Profile along with additional information for Amazing Grace Care Group Home Llc, a provider established in Desoto, Texas operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1649095365 assigned on November 2024. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Alain Ngam (Administrator)

NPI
1649095365 Verify this NPI
Provider Name
AMAZING GRACE CARE GROUP HOME LLC
Entity Type
Organization
Location Address
1001 HILLCREST DRIVE DESOTO, TX 75115
Location Phone
(214) 701-5862
Mailing Address
1001 HILLCREST DRIVE DESOTO, TX 75115
Mailing Phone
(214) 701-5862
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2024
Last Update Date
11-18-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALAIN NGAM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(214) 701-5862

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649095365, enumerated as an "organization" on November 18, 2024.

The provider is located at 1001 HILLCREST DRIVE DESOTO, TX 75115 and the phone number is (214) 701-5862.

Assisted Living Facility with taxonomy code 310400000X.